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1962733808
ERIC WAYNE LEACH
TULSA, OK
NPI
1962733808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1871)
Enumeration Date
2010-01-15
Last Update Date
2022-07-13
Business Address
Mr. ERIC WAYNE LEACH PA-C
5801 E 41ST ST STE 900
TULSA, OK 74135-5631
Phone number: 918-747-4975
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Mailing Address
Mr. ERIC WAYNE LEACH PA-C
PO BOX 4930
TULSA, OK 74159-0930
Phone number: 918-747-4975
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